Job Details

Claims Operations Manager

SIF, Idaho Workers' Compensation is a leader in Idaho workers' compensation. Because we live and work locally, we recognize that our customers are the backbone of Idaho's economy, and we are proud to offer services that protect their businesses and injured workers, supporting their financial strength. We empower our team to put people first, grow professionally, and have fun. At SIF, we're passionate about Idaho and we're passionate about what we do.

We are currently seeking a Claims Operations Manager to join our Claims Leadership team!

As a Claims Operations Manager, you will be responsible for overseeing the continuity of processes within the Claims department and the management of projects, consistent with strategic and operations goals and objectives. The Claims Operations Manager will also oversee training and employee development initiatives within the Claims department in partnership with the Claims Training Specialist.

We'll be looking for YOU to:

• Champion SIF's core values (Reliability, Innovation, Relationship Driven) by building and maintaining positive, collaborative relationships in all areas.
• Supervise the Claims Training Specialist to ensure training and development goals for the entire Claims department are met. Assist with training as needed. Monitor the department for partnership opportunities and cohesive, positive advancement.
• Serve as the subject matter expert for claim information in Bloomfire and SharePoint. Continuously update claims procedures as laws, policies, and procedures change to ensure staff has correct information to make ethical and lawful decisions on claims handling. Work with claims leadership to coordinate changes and disseminate to the department.
• Collaborate closely with Business Analysts and IT team to assist in testing changes and improvements made to SIF's operating system. Create test documents for User Acceptance Testing (UAT), compile test data from UAT testers, maintain log of issues identified, provide feedback and updates during testing duration to Analysts and management. Manage post testing meetings with staff to present overview and lead lab sessions.
• Collaborate with claims leadership and act as liaison with other departments for any claims sponsored updates and changes to the SIF website. Draft new claims content and assist Business Analysts to create requirements for website enhancements. Test and approve changes and/or coordinate user group testing for major enhancements. Communicate process and website changes to the claims department.
• Serve as project business lead to ensure the achievement of strategic and operational initiatives in collaboration with members of the Claims management team and other SIF departments.
• Work closely with Claims Managers to understand their needs and goals to build out project initiation documents and support projects through the CAB process.
• Guide the build out of requirements with BA assistance, ensuring projects are proceeding according to business goals.
• Oversee rollout of system initiatives to Claims including training, communications, and documentation.
• Work with stakeholders to create feedback loops to identify user pain points and improvement possibilities.
• Partner in the hiring process of new claims examiners. Work with claims management and HR to establish hiring needs and timeframes. Review resumes and identify top candidates for interview. Prepare interview questions and organize the interview panel to best represent SIF and job duties. Make recommendations on hiring.
• Take on additional responsibilities as business needs evolve, including providing input on team members' work quality to support compensation reviews and promotion decisions.

Your background should include:

• Bachelor's degree or an equivalent combination of education and relevant experience.
• 5+ years' experience with processing workers' compensation claims. Extensive knowledge of Idaho workers' compensation law and regulations and current court rulings pertaining to claims.
• Significant experience adjusting insurance claims involving complex legal and medical issues.
• Prior experience including supervising, training, developing, and coaching employees in a positive and professional manner.
• Strong proficiency using analytical tools to evaluate data as well as desktop applications, e.g., Microsoft Office products, to generate emails, forms/letters, reports, and presentations.
• Experience with technologies and best practices for instructional manuals and teaching/learning management platforms.
• Exceptional interpersonal communication skills to communicate and interact effectively with all levels within the organization.
• Strong project management skills with the ability to supervise multiple projects. General understanding of technical language and applications.
• Ability to multi-task, prioritize work and manage time efficiently.

What you can expect!

• A fun, collaborative culture
• Work-life balance
• Professional development opportunities that are more than just "talked about", they actually happen!
• Competitive market-based compensation
• Generous paid time off
• Amazing insurance benefits package
• Retirement benefits that rock – membership in PERSI (pension plan) as well as retirement savings options via 401(k) and 457 plans.

SIF values diversity and we are an equal opportunity employer. Please note that applicants need to have legal authority to work permanently in the U.S.